facebook tracking Signs and symptoms of musculoskeletal system and connective tissue without major complications cost in Illinois: 6 hospitals compared (DRG 556)

Signs and symptoms of musculoskeletal system and connective tissue without major complications in Illinois

What 6 hospitals in Illinois charged and were paid for a Medicare hospital stay for signs and symptoms of musculoskeletal system and connective tissue without major complications (DRG 556), from 2024 Medicare claims.

DRG 556 Inpatient 2024 Medicare data
Average charge $30,467 Hospital list price billed
Average payment $8,487 Medicare + patient + other payers
Medicare paid $5,764 Average per stay
State rank #11 of 16 1 = lowest average payment

Hospitals in Illinois billed an average of $30,467 for signs and symptoms of musculoskeletal system and connective tissue without major complications, about 3.6 times the average total payment of $8,487. That payment is about the same as the U.S. average of $8,554.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $8,487Billed $30,467

About 28¢ was paid for every $1 hospitals in Illinois billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Illinois:

Illinois hospitals: signs and symptoms of musculoskeletal system and connective tissue without major complications

Every Illinois hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Evanston HospitalEvanston 24 $30,896 $7,756 $5,966
Saint Francis Medical CenterPeoria 18 $28,392 $7,946 $6,054
Advocate Christ Hospital & Medical CenterOak Lawn 18 $28,998 $8,255 $6,218
Carle Foundation HospitalUrbana 15 $43,819 $14,228 $5,468
Good Samaritan Regional Hlth CenterMt Vernon 12 $27,415 $6,169 $5,217
Northwest Community HospitalArlington Heights 12 $21,286 $6,248 $5,160
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Lowest and highest payments in Illinois

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Good Samaritan Regional Hlth CenterMt Vernon, IL$6,169
Northwest Community HospitalArlington Heights, IL$6,248
Evanston HospitalEvanston, IL$7,756
Saint Francis Medical CenterPeoria, IL$7,946
Advocate Christ Hospital & Medical CenterOak Lawn, IL$8,255

Highest

Carle Foundation HospitalUrbana, IL$14,228
Advocate Christ Hospital & Medical CenterOak Lawn, IL$8,255
Saint Francis Medical CenterPeoria, IL$7,946
Evanston HospitalEvanston, IL$7,756
Northwest Community HospitalArlington Heights, IL$6,248

Signs and symptoms of musculoskeletal system and connective tissue without major complications in other states

Questions

How much does signs and symptoms of musculoskeletal system and connective tissue without major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for signs and symptoms of musculoskeletal system and connective tissue without major complications (DRG 556) at 6 hospitals in Illinois was billed at $30,467 on average, while the average total payment was $8,487, of which Medicare paid $5,764. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Illinois, average charges were 3.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.